An economic evaluation of antimicrobial stewardship programs in metropolitan Australian hospitals

(2018) An economic evaluation of antimicrobial stewardship programs in metropolitan Australian hospitals. PhD thesis, Queensland University of Technology.

Abstract

This thesis provides the first economic evaluation of Antimicrobial Stewardship (AMS) interventions in two Metropolitan Australian Hospitals. AMS interventions are cost-saving from a hospital perspective and are cost-effective particularly if teamed with rapid diagnostics in the microbiology laboratory. The uncertainty in the mortality estimates does not allow for a high level of confidence in the cost-effectiveness decision for policy makers. While mortality is a useful metric, morbidity associated with bloodstream infections due to inappropriate prescribing needs to be collected over a longer period of time to capture the true benefits of AMS interventions.

Impact and interest:

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ID Code: 116505
Item Type: QUT Thesis (PhD)
Supervisor: Balcon, Kate, Graves, Nicholas, & Roberts, Jason
Keywords: Antimicrobial Stewardship, Cost-effectiveness, Bloodstream infection, Rapid Diagnostics, Clinical Decision Support system, Economic Evaluation, MALDI-TOF, Hospital, Health Economics, Health resource allocation
DOI: 10.5204/thesis.eprints.116505
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Public Health & Social Work
Institution: Queensland University of Technology
Deposited On: 24 May 2018 07:22
Last Modified: 20 Jun 2018 02:39